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Home My WebLink AboutPermit Building 1976-12-3 I~ r./ ,;-<.,/'/ 1-; / (/ l'yTRS, !.I: --- - ___.__'~ ~~r ~__.''-'--___ ___ _ _ '--'r . r 1"S-02-06.1.4 Tl!J9800 JOB LOCATION 392..0 Pinyon Street --I =:J L '. ~\. PERMIT # ~Cl ...>J ~', ,ie'-- Springf!el~ Oregon . ',:;r . --~'-'.A -..~:~-~' ",_.-.. os: .... Acreage or Lot Si70 Contractor's O.S. # 145' X 7-0' LANE COUNTY PERMIT P ... m41S-76 ( XX) C I d art.tlonong # omp ete "- . " --- >. -" -~ " ------- Subdivision Lot Block APPLICANT'S NAME AND ADDRES<: OWNER'S NAME AND ADDRI=C:<: CONTRACTOR'S NAME AND ADDRI=<:<: Mail permit to ( X) Applicant ( ) Owner Jack Yates ~ame 3929 Jasper Rd Springfield Oregon 'I Phdn0747-8903 Phonp , Phonp (owner, etc.) when ready. - - .)'Q.~! ) Contractor. ( ) Prefer to pick up. Call THIS PERMIT IS FOR STRUCTURES NOW ON THE PROPERTY New llI1ell 1ng House on lot 01 New House on lot /J2 ./ WATER SUPPLY City of Springfield Water SEWAGE DISPOSAl # BEDROOMC: 2566-76 # PLUMBING CONNECTION&.....-. -. . S.1. # 76-601 . T.HIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF Springfield Oregon PLUMBING BY" .,,1 . . I he~ebY certify that the above statements are true and accurate, and that I have the following legal interest in';the property: XXX owner of record; ~;I" contract purchaser; _ potential buyer; ~ realtor or agent. I further certify that (if not the owner) I~am authorized to act for the owner of record, and that said owner is aware and approves of,this action. I hereby agree to comply with all applicable Codes relating to this permit. , Fee Paid $ ~ 161.71 Signaturp- Date (XX,(NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. JREA. MIN. ELEVATION: BUILDING - '7;,_ .'J -'.I Type of, Construction ..7" >/;,J Group /J ,,-: ..-<-ee:......--llse Classification'\ Co.mments: / ;. SANITATION Minimum Septic Tank Capacity (Gallons)' Drainfield Required. Lineal Feet Maximum Depth 3 Fire Zone Comments: ,. ,- , , ,. .~ /, . 1 (. 1/ " , ,- By: ghr't.l.J_/#U~ ---Pate: j2.-:z..-7b By:~l:;~.4 /,.,-, <".:..~;'~,,;{,_~Date: /.2. - 3- 1(" PLANNING REQUIREIVfENTS SATISFIED. By: Donnalee ~lei!Js ,r Date: 11I2B/76J Date Issued: ZONE: RA SETBACKS: FRONT W 40 SIDE FACING STREET (FROM CIL) INT. SIDE YARD O' REAR :> (FROM PILI , LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 -- I , . . POST THIS PERMIT ON MAIN BUILDING AT SITE PHONE: 687-4394 C55., 3 BLDG. PE;RMIT - WHITE;. BUILDING - GREEN; -PLUMBING - CAN-ARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE -----,,,'.~ '- " SLAB FLOOR PLUMBING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARKS GAS PIPING GROUNDWORK ApPROVED ~ DISAPPROVED ~ DATE INSPECTOR REMARK 5 ROUGH. PLUMB I NG Dm:~-::n -n INSP~ZJ/.lIJ ApPROVEO ~ISAPPROVED L::::7 REMARKS ROUGH GAS PIPING APPR~VED L::::7 01 SAPPROVEO ~ DATE INSPECTOR REMARK 5 FINAL PLUMBING 1M DISAPPROVED ~ DATE ~/:sj'1INSPECTOR c? k ~-/2-'Jf) /U9.,-J:<.9:,o.r-.}'~.... ,.&:7"'~~ / - , ApPR~VED REMA'RKS FINAL GAS PIPING ApPROVED L::::7 DISAPPROVED L::::l DATE INSPECTOR REMARKS CERTIFICATE OF OCCUPANCY \ READY TO ISSUE L::::7 NOT READY TO ISSUE L::::7 DATE INSPECTOR REMARKS . - , r, ;,', ~ -/ j 'f/ '-'~{RS, TI lB-G2-06.1.4 TLO I?flO~ JOB LOCATION 3'12.0 Pinyon Street \, -'" c. <>>"'~.l '-\ I ' PERMIT # ..,;:,J C~~' ~.:- \}c Springfield OrG:Jon " , LANE COUNTY PERMIT - Acreage or Lot Si7~ Contractor's O.S. # 145' X 7-0' Partitioning # 01418-76 ~ ( Xi Completed Subdivision Lot Blor" " APPLICANT'S NAME AND ADpRESC: OWNER'S NAME AND ADDRESC: CONTRACTOR'S NAME AND ADDRESC: Mail permit to ( >) Applicant ( ) Owner Jack Yates 3929 Jasper Rd Saml:! ,. ?dUIe ) Contractor. ( ) Prefer to pick up. Call. SpriOQfield Oreaon Phon~ 747-8903 Phon~ Phon~ (owner, etc.) when ready. THIS PERMIT IS FOR STRUCTURES NOW ON THE PROPERTY New Dwell ing House on Lot #1 New House on Lot #2 WATER SUPPLY, THIS PROPERTY IS WITHIN ONE MILE OF THE CITY OF City of Springfield Water SEWAGE DISPOSAL Springfield Oregon # BEDROOMC: 2566-76 # PLUMBING CONNECTIONL- 76-601 S.1. # PLUMBING BY I hereby certify that the above statements are true and accurate, and that I have the following legal interest in the property: XXX owner of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the own'er) I am authorized to act for the owner of record, and that said owner is aware and approves of this action. I hereby agree to comply with all applicable Codes relating to this permit. M-nrNV'><Y 161.71' " . Fee Paid <l: ..'f'V'Y'V'<IV' Signature Da'~ (Xl))NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT ) SPECIAL,PMT. AREA. MIN. ELEVATION: SANITATION , BUILDING _ ,"J.~/ Type of Constructio'n ..7 tI- Jr,roup ./l . /. .._.....L,.....:~llse Classification C~~ents: / . 3 Fire Zone . Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth Comments: ,. '/ /'J . I By: r:;Jrr,r'h"rw I ,J:f",u-v-- Date: .I 2. .. 2..,......,t By: <....L,..,..~/::;,7-:!_-t. 1...,-, ':',':~--L _ Date: /2_ - ..=; ..' 1 t. PLANNING REQUIREMENTS SATISFIED. By: Donnalee r4ei<1s v Date: 11/21l/76v v Date Issued: ZONE: RA SETBACKS: FRONT l>J 40 SIDE FACING STREET (FROM CIL) INT. SIDE YARD!)' REAR :" (FROM PILI '. . LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT, 125 EAST 8TH AVE., EUGENE, OREGON 97401 - . ~ PHONE: 687-4394 POST THIS PERMIT ON MAIN BUILDING AT SITE ~- BLDG. PERMIT - WHITE; BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD; OFFICE COPY - WHITE . . SITE I NSPECTI ON APPROVEO,$- O'SAPPROVEO Cl DATE /- J-C-7? INSPECTORc;J4/ REMARKS FOUNDATION INSPECTION ApPROVEO ~/ D,SAPPROVEO L-/ DATE:l-- ~S-- 77 INSPECTO~-e.. REMARKS F-hr d" - . ./.~ ~ .#.; Nt- ~ .Jt' ~.f~____ ,~..I~--'_ ,..,/< f..4.. /''--' ./ J _ ~ _ '"7'" j."",.r' FRAMING INSPECTION ApPROVED .f:iZf' DISAPPROVED REMARKS ;J~ ~ A-AAAoJ Cl DATE J-2-~-77 INSPECTOR ~(r-t A r-' :z. - 2..5 - :)"7 Cl.,-!J , LATH OR S~E::~K INSPECTION ApPROVED DISAPPROVED .c::J DATE~q-71INSPECTOR 9urf REMARKS FINAL INSPECTION ApPROVED d OISAPPROVEO Cl DATEt--z..'3-71INSPECTOR ~ REMARK S CERTIFICATE OF OCCUPANCY READY TO ISSUE ~ NOT READY TO ISSUE ~ DATE INSPECTOR REMARK 5 Yatos Surname . . 76-601 18 02 6.1.4 <<;lAnO 11;\_01 Twp. Range Section Tax Lot Code Census Tract I Date I Owner Owners Consent 8gl0Q76 Yes No Receipt No. REQUEST FOR SITE FEASIBILITY STUDY THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK: Name Jack R. Yates 1 $ 7~ nn and No. Sites Address 3929 JospeJ:' Road $ No. Acres SpJ:'ingfie1d, Ore. 97477 TOTAL $ 75.00 Telephone No. 7..7~8903 Property Size 145' X 700 Existing Structures Houao and E1ho!> Proposed Water Supply Public X District, Applicants Interest in Property I Proposed Use of Property Oener Home Legal Access - Road Name ISpecial Permit Area I Urbanizing Area Pinvon St. Yes No". Yes" No I Is Property Within One Mile of a City? What City? Sorinfiold Yes It No Other Soecify Sorinq Wel' ,Prooerty Locat i on: (D i rect ions) 2 hOl!oaa from 40th PlacC'l on .T'''''nn.. Road. APPROVED xx NOT APPROVED ApPJ:'ovod for SDS. Submit a dotailod plot plan with building permit application. OAR Chapter 340 Divlsion 7 Section 72-020 (6). Thi s report shall remain in effect until issuance of a permit to construct, unless in the meantime conditions on this or adjacent properties have been altered in any manner which would prohibit issuance of a permit in which case this evaluation report shall be considered null and void. Technical rule changes will not invalidate any evaluation report issued pursuant to this section. BEFORE CONSTRUCTION IS STARTED bring this form to the Department of Environmental Management and make application for a building permit. If the property is a por- tion only of a tax lot, a metes and bounds description of the parcel must be fur- nished. Exact specifications for the sewage disposal system will appear on the building permit. Two sets of building plans and a plot plan will be required. LANE COUNTY DEPT. OF ENVIRONMENTAL MANAGEMENT 135 EAST SIXTH AVENUE, EUGENE, OREGON 97401 Glt'CR Gnnv o I.!: Author i zed Signature 8~ 199 /6 Date C55-32 B '.':-:----'-~:~. ':' -, ".' ....... i~..~~~ - ~_.-1- . . ~ /"'J PERMIT NO., :;)~~\o," b' CONSTRUCTION I)(J MOBILE HOME [] PLAN REVIEW [] CHANGE OF OCCUPANCY [ J o owne~'n\.~ \/a~{Q' ~C\.AC:\.~.<c\-:--,,,,,V' \<.~ ~,~.., ~ S,;,U .... " NAME ADDRESS ~ CITY- ZIP CODE, \. ,'PHONE ,. c.-:.., I ~ o Contractor'- ,~ " -. ,'" ~ NAME O:S. Reg. #'--_.--.......-..n. Tw~\?\ RangeC)=+- :tion ~.-:J.~, Tax Lot 0{ ~ Code (\ "" \.\ \ 'C .'-\ "" Subdivision ~ --~-. " . Lot ': Block . Acreage Access to Property (Road Name)~' ':"-..1",-, "'::"..\" . I' ' Existing Structures on Property' 1.A;;:'~^t. <. P '"'....... I{ '''=:.~: ' \. ~ Q;:....,_. I ~ANE COUNTY PERMIT FOR: . + ... '.. ~ ,..;.t-. . .j , ADDRESS CITY ZIP CODE PHONE, Census Tract Width Depth \... C',\ ~. \ 1,"'0" s!>;.:;;:; no ,~,J.., ~~,.... '" , Directions to Property - Address: \..\(, Q\""". .. ..c::.-.,~ <:' =." ';--....n .....' \..< ,A, , -'" , \ STRUCTURE (#lBEDROOMSI . "-~,,.........~, A --'\ C"I .......~ ,. .,,'"C'. \. \ SQ, Ft.'!:; ~k.....~ ::::::tt- <:::::. (:.~ VALUATION ,,'-"" ~c,..1. SEYVAGE DISPOSAL: PUBLIC [J SEPTIC TANK I ~ . I PLUMBING INSTALLED BY: OTHER[~ '\ \~ .( _C\ \ OWNER I I OTHER r I NAMF WATER SUPPLY: PROPOSED .I I EXISTING [I [ I PUBLIC [ I COMMUNITY. NAME: [ I PRIVATE WELL [ J OTHER. SPECIFY' .1 I BUILDINC' PLUMBING 3% SURCHARG'~ MOBILE HOMF ~....... =:0 WASTE DISPOSAL __\l:'..,. " PLAN REVIEW TOTAL """'I.t=:-... "",,,,, ~ ;::)'?-, \-t (,,\ Li_~tf "1'1_ , INCHES TYPE OF CONSTRUCTION GROUP FIRE ZONE , STAY 100' FROM ALL WELLS USE CLASSIF. SETBACKS ;(T. FROM CTR. OF rlW: \..\\AI FR~NT ,"'" SIDE EXT, yo- FT. FROM PROP, LINE: SIDE INT, '" I REAR 'c::,' '...... i ZONF ~\ BLDG. PERMIT - WHITE OFFICE COPY - WHITE COUNTY TAX - PINK PLUMBING - CANARY BUILDING - GREEN SANITATION - GOLDENROD " ISSUANCE o'ATE: rnc4..I/{;"'1A 10 .);'.7t 1;5 .... /) ';) - '7!..~ f -. O' (J . . ~ , Call 687.4065 to schedule all required construction InspectJons. Call 687-4061 10 schedule all required IMPORTANT' septic system inspections. All construction shall comply with the Stale Buldling Code, D.E.a. standards. , . lor subsurface sewage disposal and the Slate Plumbing Code. All bUildlngs'require a certificate 01 occupancy before being occupied. I \..... AUTHORIZED SIGNATURES: Is!' ,........ "..... ,............ \ c,> \ \A \ \...., "-- . \ . (See Details on Reverse Side) (POST THIS PERMIT ON MAIN BLDG. AT SITE) ::--\ ........\ C55.13. ", LANE COUNTY, DEPT. OF ENVIRONMENTAL MANAGEMENT COURTH<?USE ANNEX, 135 EAST 6th, EUGENE, OREGOr;J 97401" .." '. . .. ~. INSTALLER: . PROPOSED Complete top part of form INSTALLER'S NAME ,fA C /-<.. R YATES SEWAGE DISPOSAL SYSTEM lORD . . 1!J~ to signature and submit both copies with application. ' ( PERMIT No.;!shb'-7h PROPERTY ADDRESS 3'l:t9 ~ RJ. ~~upply (Pub I i 2> Other-Li s t No. Living Units Bedrooms Baths Basement . 747 - Rtf 03 Yes (Ifc)) Septic Tank: Ft. f~~ Ste,el D ~/.5f;:.r~':1J No,.pa7ments Gal. cal;;'Jb _ # Inside Dimensions: Ft. rt:t'l" - 'Tile Disposal Field: ~ LenQth Width Diameter Depth Distribution Box: ~ No OWNER -I:: / Other Distribution-lype" -.t-IJ NAME ~ Je p V' C 1'1./1 b&J,/v..f/ 4 II /J Feet from ! , HA I LING "$ <;- !t '? ~ 7e....f/ WE 11 ~ Foundat i on ADDRESS ~"#': /jj // Lot Li ne I II I . I ~..// tJ~ ,Front l3il fr Side 9 Rear ."1IJI Len~h <1- ipes-E1/.' [T~'l&W1 Tot~ Sq, I Ft. Betw}'en IFil)V _ IFiAller Depth IFIller BelOw /1' I~ 23b'33143ti'5. 6. wfil?I,' Ft,31{, Lines 6' Tv.fa~ove Tile.:tuinJTilejft'l.A. 'i 'lot Plan (see instructions!: ,/ ~ 14~'t!?tJ ~ /, ... ~ ,,8 e. \/ J 6',,'" i .u: dI.. 3S/ltlH ":,tr :;; i~ ~ $dJdHd. ~)c; ..-.. ~ ~\i ,~ ....~ <?: ~ , , . . 1\ ~ ~ ~ ".. ~ " ~ "- ~ IV) ..... .... ....1' . '-, II I ., = ~t:J Date {/~9~ CERTIFICATE OF SATISFACTORY COMPLETION For Sanitarian Use Only:, Date: //-2-3 -7(. In accordance with 1973 Oregon Laws Chapter 835. Section 214 this certificate is issued as evIdence of satisfactory completion of a subsurface sewage disposal system at the above location. CSZ1 Approved: System Installation conforms to~urrent standards c::J Disapproved: Does not conform to current standards Remarks: C55-11 .d.~~ Sa~itarian's Signat~ LANE COUNTY tY STATE OF OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY v .0. :~,.,~~~;;it;t)f~"'>:">'_N~'~;~~~?PE~~lrF~~":""~ :"~~R~'I;Ni~:"i' , 0: , .../I:":~:;:"i:~:\'i::':;;?':.":"~',,:' i\::.",:. {; , ".. ;.:~..~'.,,~. \'\5c' , ",:'.;:CO,N'SiRU'ci'lq~~'~] ~M6BIW'HqME[]' Pl.:AN'REV:IEW [J CHANGE OF 'OCCUPANCY [ J ," ,\".,.,;, \~' 1L,' . "--I;l.{"""'''' 'IM~.... \...,,' J..' ~~: 'fl. ,if, , ',0 bwnJ")''\14.\~~,'''' ,C:~'~,,"~"';'; ,', ~,:r\L\"'\ _~~~.~~t.'. ,......,~ '.~"'..,. L"t;. ~.'I>'.r\> ..' ~'" ."'" NA. ", ' ,':.: ADDRESS I,,;j, CITY "", "lIP caa~ ~I'IONE [] Can tractor. :::~:;5;~' ~ ., ,.,.\..." , NAME .'] . . :o:S. Reg: #..",,_.........,"iO.~ ' " TW~\ t"'''f ' .~;ngt::~':j_ :tian~; \;\-\. Ta?< La8\}"C'SD'cade , " '. , ".;!"\".,,-,,;.,,.\.,\l ~ . ' " , , :", . ~;z.'. .." "'........ ~- 1 . ..' Subdivision':;;c,",;;<e. 'r ....~... Lat Black" Acreage Width 'Ac~ess ta Praperty(Road ~ame~":\;""'l{'<\"" ,'t~~<\, . .. Oepth l~~6tj ~.:'_ :t'l'. ~~.'h. \,~,/t"'~ .~~ \ ~.~.\ "'""~\. 'ADDRESS CITY ZIP caDE PHaNE ('; Cens~s Tract " " . Existing Struct'ures an 'Praperty:' ,.... "i .' ;,:' ..' . "'. ,'. . . . '':;J~.,..;.~:,.... '\. '~~. ,:.t;"Directians,ta p'raperty . Address: ' ~: .,.. ,:"~'D:"::~~'\i',,,,..~,'.L~' j,:,' '..-..,: '(~~~'=\." ~ \.~~...~\ >l,,:":.- .::::.~ .,.~ .. ~ ",- ,..._,~:\'t\~..~ ::t-';\ ", :':,1 I ~I , ; .' '..,:' ".::.';' , \:.: '.,.',.... '~..'" ",~"",~~'f1"..."\-n.4;' "'-""'-~_ ,- . ,- 'l~..l: -',~ Sl'RI)CTU~E:i'#'B~6ROQMSI ':............f . - ',' """.~~,-,,'1,,'i'~~;;'\. ':;',::.-i-'\. t& '., eX.... '\'. "', ',-=~,:",\\ '. .: ' ,~,-,,;.. . .. . . "'. SO. F.T. ' ~...;....'....'~" ~.. t,~''''-.J:~''''"", ~~\~'.,.,. ,'~,' " 'XLUATION , "-'<. "" ',." ' "'"-:...~ .,:w.~~' ~_' " ~~":." 1- ." .' ":;'\" :" -.." II '.1 ';'t: "', ' :': ',S~fl)g,~;QI.SP0SAL.::" :.' '.' PUBL'IC:,(;;',]'::SEPTICTANK [. -'. ,', ,:: r;.'- .' '~' , . . ,.' <.1" t',( I OTHER,,[,] "","" '\...;, \\ PLUMBING INSTALLED BY: OWNER [J OTHER [] NAM" .:-;; '-.~ '("'-~ ~'f'~',,", t '"BUILDIN'''' ' :':.: PLUMBiNG:', 'A ,'" ,':' . " . , '.3%'SURCHARG~' [ ] PUBLIC ".:' illil@)BILE'H()MF. ""'.:,' .- ..... (' J COMMUNITY, NAME: "~:WASTE'DISPOSAL"~;~~""'''<:;'':'' '[ J PRIVATEWELL '."'PLAN:REViEW'.::, . ...., (] OTHER ,SPECIFY: I:~ .:: - " -~:~:~':;~~:;"'.",'~r>~,~ '.' '" ,'_. ,<: '. " . ,:}:1~~~~ L ~:;: <::',~"f'P~~"" ''''''''~''''';,~~ij I" if", f. sa, i~(' '~... ' 1,,':'< '. ",-1':". ' ..l, .'.-': ,'-' G~'~-\\,.l ~-~A~i~' JIJt, . ... '\\''-;' ",. ' ~".':\, ,'CONSTRUCTlON,PERMITS & INSPECTIONS AND WATER PO Lurr,tON CONTROL S~ECIFICATIONS :,.;:MIN. ?EP:rICTANK:CAPACITY:~ ~"~~\...:.. .s ~ '-~\V:~ ,,~GALS,' . -'7()tJ , ' MIN. DRAINFIELD~I ('H? UN. FT. "MAX. TRENCH DEPTH .3fr INCHES ~t'.~.:~\.. :~; ;.',. ':-' .. ,-'..~_"~', . ':~'l:~',: ',- .;~;t;:.:.... -' -'l "\.. '''::_'''~'' '\ \ I' '. : .'~~" ;1 ':j rj' fj t= II II "tj l' ,~ " .J . ,~j; ~ . WATER SUPPLY: PROPOSED [ J. EXISTING . [ J ". , ' , I .'..\ i , , ,; " j . .} : I . ~ :. ~,' :.~- ;:" ;. .., ":;, 1::!Y~E OFCON~TR~CTION~ ' ,t,... .' ',' GROUP ,FIRE ZON~ STAY 100' FROM ALL WELLS USE CLASSIF. '. .1 , ' ,~ FT, FROM PROP. LJNE: ',''''',: . ~, SIDE INT. ~, REAR.,....,' "". ',....k"AA.' . ~""--, .' ZONF" ,..,' . '. l.' ., . ". . ;~ ',SETBAC.~,tekFfOM CTR.OF rNj ,,....FRONT'~. SIDEEXT, ".':' ,,,:, :.,::~>..' "',". "", '. . . :#'. ~-'_.,"'" ,\ . ; , " 'I ~ (." ~\ 'l-~ ~ , m~.iJlhiE" vi I(I..'lo.7i '. U. < U, ,'. c ' Call 687.4065 to schedule all requIred construction inspections. all 687-4061 to schedule all reqUIred septic system inspections. All construction shall comply with the Stale Buidling Code, D,E,O: standards for subsurface sewage ,disposal and the State Plumbing Code. All I?uildings require a certificate _of;', occupancy before being occupied. . : (See Details on Reverse Side) ISSUANCE DATE: . " ., AUHIORIZED SIGNATURES: '.''''':,,' " \,',\. : /s/ . \.~>..'\.""'" ~,,........., ,."'-., ':, __ -L '. 't , ,. 1.1 _, ,f .... " . BLDG. PERMIT - WHITE OFFICE COPY -;-WHITE COUNTY..TAX:..... PINK' PLUMBING ""-CANARY BUILOING - GREEN SANITATION - GOLDENROD IMPORTANT: '0 , , '. '. ~.$'" ~"'~.:^;', \. . .:~". ,t~; " (POST THIS PERMIT~ON MAiN BLDG. AT SITE)' LANE COUNTY:OEPT. OF ENVIRONME~TAl MANAGEMENT COURTHOUSE ANNEX, 135 EAST 6th, EU~EN~, O~~~?N 97,40t .' ...., '.,...~-'. ~\ C~~.13 \ ,,":.. ", '. I ~ ,... . SITE I NSPECT I ON ApPROVED ~ D,SAPPROVEO ~ DATE REMARKS FOUNDATION INSPECTION ApPROVEO L-/ 01 SAPPROVED L-/ DATE REMARKS FRAMING INSPECTION ApPROVED Cl DISAPPROVED !I DATE REMARKS LATH OR SHEETROCK INSPECTION ApPROVEO L-/ DISAPPROVED L-/ DATE REMARKS FINAL INSPECTION ~ /cJ- Z- -Z- .... 1 f, ApPROVED ~ DISAPPROVED ~ DATE REMARK S CERTIFICATE OF OCCUPANCY READY TO ISSUE Cl NOT READY TO ISSUE Cl DATE REMARKS . INSPECTOR INSPECTOR INSPECTOR INSPECTOR ~ INSPECTOR INSPECTOR , . . ~ ";--,... "---.-,"> . ~I.r .I V,,' '/ \' ". , f ~ '. ./ , 0" .18~2-06.,1.-4 - _" TRS, TI ~: - -,~.... -----'. '....~ _.., m - ,..-~ --..,. _....... ....._,...~ ,'-J~.. -......._ ~____. ~___- ., '_'-v"- ...'~ ___ =.::::...._~':.....:_:; -;::r.:.....p.;:;F--C. - ;~R~IT #~~ R d.3< 70 Springfield Oregon i. ,;. TU9800 JOB LOCATION --;"7-2. 0 Pinyon street , LANE COUNTY PERMIT ~ Acreage or Lot Sizp Contractor's O.S. # 145' x' 7-{1' P ... m418-76 artltlonlng # (X>) Comple~ed Subdivision Lot Bloc~ APPLICANT'S NAME AND ADDR"'''' OWNER'S NAME AND ADDRES~ CONTRACTOR'S NAME AND ADDR"<:<: Mail permit to ( X) Applicant ( ) Owner Jack Tates 3929 Jasper Rd :.ame - '>'""" Sprinqfield Oregon Phonp747-8903 Phonp Phonp (owner, etc.) when ready. ) Contractor. ( ) Prefer,to pick up~ Call THIS PERMIT IS FOR STRUCTURES NOW ON THE PROPERTY flew Dwelling House on lot '1 Net! House on lot n ,. WATERSUPPLY City of Springfield Hater # BEDROOMS_# PLUMBING CONNECTIONS-- (.' SEWAGE DISP()~_AI___ 2566-76 _ ,-, "S:I. #' 76-601 ',_., Springfield Oregon . PLUMBING BY THIS PROPERTY IS WITHIN ONE MILE OF THE Cl'rY'OF I hereby certify that the above statements are true and accurate, and that I have the following legal interest'in the property: XXX owner, of record; contract purchaser; _ potential buyer; _ realtor or agent. I further certify that (if not the owner) I am authorized to act for the owner of record, and that said owner is aware and approves of this action" I hereby agree to comply with all applicable Codes relating to this permit. Fee Paid s: ~.>ml 16.. 71 ~ignature Datp (XX)'{NEW ADDRESS ( ) FACILITY PERMIT TO TRANSPORTATION DEPT. ) SPECIAL PMT. A.REA. MIN. ELEVATION: Minimum Septic Tank Capacity (Gallons) Drainfield Required - Lineal Feet Maximum Depth BUILDING I) A J, Type of Construction /-.; :7G~oup , ,,' . ,/j"-~'. .I!se Classification ~~mments: / ;;" .-J Fire Zone SANITATION Comments: , Mil ~ . By:.,. ' -!'_~ __ Dat,l': - ~.2 ~.,i'-' '-BY:<A'~~ f;~ .' /. __ ..... '..../ Date: f.' :-> 7' f.. "-:-PLANNING REQUIREMENTS SATISFIED. By: Donnalee t.Jcigs Date: 11/28176/ Date Issued: /2-:5"-7..b ZONE: . RA SETBACKS: FRONT 0 40 SIDE FACING STREET (FROM C!L) I NT. SIDE YARD l)'. REAR :;:. (FROM P!Ll - LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT,.125 EAST8THAVE., EUGENE:b-REG-ON97401 PHONE: 687-4394 " ~, .." - .." POST THIS PERMIT ON MAIN BUILDING AT SITE , -' C55'13 BLDG. PERMIT -WHITE, BUILDING - GREEN; PLUMBING - CANARY; SANITATION - GOLDENROD: OFFICE COPY -WHITE , ~ ~ne county ("- TO: --L-water P~l4+ion Control trJl .f;'1 a41!.i::-' , ____Subdivision Engineering ____Surveyors ____Transportation Operations ____Construction Permits & Inspection ____Real Estate Acquisition & Management ____Transportation Engineering Environmental Health ____Transportation Planning ____Community .Development ____Eugene Water & Electric Board Pacific Northwest Bell ____Pacific Power & Light Company Northwest Natural Gas Company ____P.U.D. Light & Power ____Oregon State Highway Division ____Soil Conservation Service Fire District Water District School District f"',---- City of Soil & Water Conservation District FROM: Lane County Planning Division 135 6th Avenue East, Courthouse Annex, Eugene 97401 (Phone: 687-4186) Subject: Division of Property Section: fa -I. t/ I Twp: e. ua+p<., IS? Range: ~d written recommendation to the Subdivider and the Secretary of the Lane County Planning Commission at least two (2) days prior to the meeting date noted above. "" ____Please check easements, make any changes necessary and return one copy to Lane County Planning Division. Comments: Parcel one meet~ DFO ~tandard~ fnr sns A dwelling exi~t~ nn narrel #~ Stan Petrasek. 19 Auo. 76 . . 'f'" ;,. , ?AR'!.'.;'TIONER: NAME: J;tT.,-,,1 j( . ..~" ;" ADDRESS: ~ c; .:1, Cj ft:.~ "'j~::(/;; A',..( 2;J' ~ '<I ,1 -7/:/71;~" I // t! At' ;"/,(ft'... PHONE: q";! 1]4? -- ~<J Y<: ~ -/ I, ,.I~/.~__(.e.~ -' lane county INTEREST IN PROPERTY: (Indicate one: owner, contract purchaser, option holder, other) WATER SUPPLY: PERMIT II: SEWAGE DISPOSAL: S.l. II: ELECTRIC SERVICE: ZONING: _hJ.fLLAII1E. 77B uJ4r. DJ~J SEPTIC TAil)~ , CA>lNER OF RECORD: / NAME: ~<-r'At:: P:t. ,~/...,?f- { " "'" / ,#, ',1 ADDRESS: ~;vl II (/{..L->e~f;..I,/'.,<<I.~ ? P./. L J:', A . PHONE: .ALtt..... .<!.". ~ ll,... FEE PAID: .-;~ Jt-tl'-l 7(, , &~efl 14, ~ DATE SUBMITTED: RECEIVED BY: TAX LOT: 9RO() MAP II: It Ci.l. t, IIJ/. approval HEARING DATE: ~-~(,...._:17t. for office use onty . BY: ~~,#/ ,"Uog ~d W"~;~// ~ ';9&00 ~~ ~ vicinity :anap _<? <; "l~__f..._ ,.' , _._u______'___;-_ '< '-I I- ~ 'v III j ( ~ ~,re ~. < (;'(/IIy'~N ;~" '. "-1-0} I ~ --.-....74~~~~;, r0,_._l,.. 12~2.-ke'e-~.J' J :r 6 PLANNING DIVISION I ENVIRONMENTAL MANAGEMENT UEPAIITMI II r I 135 EAST 6TH AVE. I EUGENE, OR 97401 I PHONE (5031 667-4186 C14-15. . Sheet I of 2 FILE NO: I)J tilt -/6. MAP PREPARED BY: ",,-":". - 1 , # ,.... ~ MINOR -' o MAJOR part it ion 'II;IIr lane county ? / J\/ YOM S'T:i2 Eel - - ~t ~ ~' 170 ' PI}R~ EL :tI: / .... q " ;7t-~/ fA /rJ)- "'f-.. PARt t:1... $;;:.. S70IUIr!tl:/ WOIt!~ SHOP ~J ... ~ I'} ..... RtSI{)c.NfC LU.lJ o \ , __ _....__,__._. --'.2.J2_.. _.____ JASf?E-R RO/1D 9cc-J ~ ~ IJ/E..t) ~-fi. f"S#5 ~~'~~ ~~. ~/~~ SCALE: I II .=- ~ C) I v FILE NO: /")7 '/1 K -7(, 1'1 ANNING IlIVI::illN I I NVII<ONMI. MANN;rMrNT 11I'I'A/1TMI Nr I u!; r^ST ,.vr. I FIlGFNE, 0/197401 I PHONE lfi01J f>87.4IBo ~ 'YdIC7C, /L &1;% /1-0/ :J.r- /?d-IJ- ~ 2 6,1. '/ ~Surname Twp. Range Section Tax Lot Code Census Tract Re/b~~rS-- I Date ~-J/ IOwn~_ I Owners Consent Yes No REOUFST FOR SITE INSPECTION ~~~k . THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FU~ BUILDING PERMIT. ANY PLANS OR Elu-MU.L l'URES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK: Name and Address ~aA /~~ /J~{.9 ~ ,,: - '~ ~ U-?4'"/ 1-1 //- I L I $ ./.~..oC) No. 'Sites $ No. Acres TOTAL $ ./&: .0.....> Telephon,JY~o. Applican~ Interest in Property ~_sed US7 of Pr~ertl / /./ 71/ 7-/, T.o ? /~LO--J(J? -I ~~.(? -~~.ely ..Jrope.tl~y , . zej JJ Lew. Access - Road Name I Special P mit Area 1- Urbanizing Area ' tf.Lt1tJ > . ~#(' ~_4 /.;....... Yes No \( Yes?t" No &t. St~tures -A i..l I Is Property ~it in,AQp e Mi1.e of a 'CHy? 1''7,.., ~ .;,c, ~ ,f}7,La /A-T What Citv? -H. Yes )C(, No Proposed l'/at,h Supp:W, ,{) oth / Public V -"llistric1f#J?a>orinlZ Well Soecifv ~ooert~ ~cation: -(Directions) ~...../c#. k/. hr (4-1 Af'Lp./ 11-1 /~_~ ~Cl 1,::I{/)AR~ ()/U;~j t.t~ ..ff~,y6-d/~..;~ :V~J ~ / / (See Below) APPRO ./ NOT APPROVED OTHER REASON FOR NON-APPROVAL STATUTORY AUTHORITY ORS. 431.130 and 447.02fJ ....d-J ~ ,~ ~ 5.L?S ~~~.~~ jJM-~ ~. OAR 4l-D2fJ Par. 1 Insufficient lot size for individual sewage disposal and water suool'(. OAR 4l-D30 Par. 1 Heavy impervious non- abSOrPtive soil. IOAR 4l-D2fJ Par. 1 . .' Water table above minimum State Standards. other / Engineered Site Modification Feasibility: Possible Not Recommended: LANE COUNTY BUILDING AND SANITATION DIVISION 135 EAST SIXTH AVENUE, EUGENE, OREJON 97401 BEFORE CONSTRUCTION IS STARTED bring this fOnD to the Building and Sanitation Division and make application for a building permit. If the property is a portion only of a tax lot, a metes and bounds description of the parcel must be furnished. Exact specifications for the sewage disposal system will appear on the building permit. Two sets of the building plans and plot plan will be required. ~~tJ.~~ Auf.l{or#ed Signature rf //-3-72- _ate . CS5-32 . . .- <. TWP. 1 ~ RG. 2.. SEC. (" .1</ T. L. '9 Po c DATE ///.7r/"7' .., COORDINATES E N CENSUS TRACT SIGNATURE -4 ~/c" POS I TI ON NO. I 01 /I..:d CHECKLI ST CRITERIA FOR DETERMINING SITE SUITABILITY FOR DEVELOPMENT UTILIZING SUBSURFACE SEWAGE DISPOSAL METHODS GENERAL CONSIDERATIONS I. D'STANCE TO COMMUNITY SEWERS 2. DISTANCE TO PUBLIC ~ WATER A. / MILES OR rEEl, SOURCE A. rEET, SOURCE 3. DEVELOPMENT TRENDS IN THE AREA (SHORT AND LONG RANGE POPULATION OR HOUSING DENSITIES) DU = DwELLING UNIT. A. COMMENT 1 DU/AC~ OR LESS , 2 - 5 DU/ ACRE v--; 6 - 10 OU/ ACRE ~. PERCENT OR NUMBER or rAIL ING SEWAGE DISPOSAL SYSTEMS IN THE GENERAL AREA ~ A. HAS ENVIRONMENTAL SURVEY BEEN CONDUCTED YES NO .......- DATE 5. PROJECTED PLANS AND/OR STUDIES rOR PUBLIC SEWER OR WATER IN THE AREA. (INDICATE " ADOPTED). COMMENTS: SPECIFIC CONSIDERATIONS 1. SOIL CHARACTERISTICS A. Top SOIL DEPTH AND TYPE ~ t'~~ ~.z8" ~..J f ~ L'1J-wr ~b'1r 3'D- 3t, / MA.&tA.v B. SUBSOIL DEPTH AND TYPE C. MOTTLING DEPTH ?1 ?T>J. D. WATER TABLE DEPTH "'U_1, I;"r>d~ COMMENT E. FILL fEASIBILITY COMMENT F. PERMEABILITY ~Ail~ ~ . G. M55-26 PERCOLATION TES~SULTS ___ 2. SURfACE DRAINAGE CHARACTERISTICS SWALES ~ DRAINAGE WAYS (DEPTH) .. 'l I . -. DRAINAGE OBSTRUCTIONS ~ COMMENTS FLOODING ~ 3. WATER SUPPLY EVALUATION - CHEMICAL, BACTERIOLOGICAL, PHYSICAL, QUANTATIVE A. WATER SOURCE: PUBLIC V AGENCY SPR'NG WELL LAK E RIVER COMMENTS GEN.AREA ,SPECifiC SITE B. WELL DEPTH ICI?~ C. JOINT USE Of WELL, (# Of PEOPLE SERVED) NUMBER Of PERSONS TO BE SERVED FAMILIES 4. ADDITIONAL AREA AVAILABLE fOR USE IN CASE Of SEWAGE DISPOSAL SYSTEM fAILURE: V YES No AMOUNT AND GENERAL LOCATION 5. ACTUAL USEABLE UNDISTURBED OR UNALTERED AREA AVAILABLE fOR SEWAGE DISPOSAL _ EASEMENTS, DRAINAGEWAYS, TOPOGRAPHY, SHAPE, SIZE, SLOPE A. SLOPE "/100' ~ B. AMOUIH USEABLE AREA ",Ii! C. TOTAL SIZE Of PARCEL 15rJOS- ~. REMARKS: 6. PREVIOUS SITE INSPECTION YES No ~ DATES 7. DISTANCE TO: CR EEK S ./~ 'STREAMS , RIVERS CANALS LAKES , PONDS , OTHER, SPECIfY: 8. TYPE Of STRUCTURE AND APPROXIMATE SEWAGE flOW: S I NGL E F AM I L Y ~ GPO MUL T 1- f AM I L Y GPO, INDUSTRIAL GPO, COMME RC I AL GPO INSTITUTIONAL GPO NOTE: SOIL ABSORBTION AREA IN SQ. fT. AREA NECESSARY fOR SEWAGE DISPOSAL SYSTEMS ------------------------------------------------------------------------------------- DATE II' 3 - 7 OJ- REVIEWED BY I ACTION: . . ~UILDING SITE EVALUATION f/#' , ../ ~\ T It' R ~ S,{, ./,.. TAX LOT ~ CENSUS TRACT' --- ." . .. -- Site Inspection .::/ (!),). 9 ~J APPLICANT: .....~ NAME ..J , ADDRESS ~ () Building Permit Appl ication No. ()4 ( ) Pre-Permit Investigation PHONE DATE /i?_ ~~ " , , , LANE COUNTY PLANNING DEPARTMENT NOT appl icable I. Zoning Ordinance Comp] i~~ () ()~' (Zone&.a... ) 2. Subdivision Ordinance Compl iance () () (I' 3. Requ i red Access () () () 4. Building Site (Area, Width, () () f',)) Frontage, Setback) 5. Other (see comments) () () COMMENTS: ~ ~'rr>1 ~r /-L NO YES NAME DATE loh, /7"2- I , JH- ~ ~.!.,.......~~ ~j?~~ ~.A~ ~......-_~ C'\ .; , ..../-tJ e,vI 11 - BUILDING INSPECTION SECTION NOT NO YES NAME DATE app I i.cab I e 6. Plans Submitted ( ) ( ) ( ) 7. Soil Stability (footings) ( ) ( ) ( ) 8. Flood Plain ( ) ( ) ( ) (!yj~L 9. Ot he r (see Conunents) ( ) ( ) ( ) ItJ-3/-7;J--- rOMMENTS :,_ {/ - . . DEPARTMENT OF HEALTH AND SANITATION LANE COUNTY COURTHOUSE EUGENE, OREGON rvVG~b(r 14, l~'n H~SD YLm:S, Juck P.. Ur. tee l:iU(r, Gccrct<::ry Lane County Plonning COumission Courthouse Eugene, Orq;on ReI Jlck R. Yates Ili..or Subdivillion '1\IP' 10 Ronfe (2 Sec. 06.1.4 TCJt ),ot ir'JeOO ~ .- InveDtieation of the abovo described property indicates Lot 2 con bo approved for the installation of a individual cubsurfllce IlC~:acC <1ioposa1 systCtll. Public ~ater io required and is available from ~\jhD. JO[~ c. STONPR, n.s.. Director Building ~md S.mitotion Division Byl S.N. Rubini, n.s. Sonitotion Section Slin:rd CCI Jock R. Yates ~929 Jasper Rood Springfield. Oregon 97477 . : ~ p y . ~ \ 1 I' . ,.. ~ _.-.- -- I ,I II..' . ~ j\ 'f '. I;.;.',_':!" .- \... I.v.,:----'I=- .~ ' , .-' .."j . -,_-.'- ::. '-:'-:--'~-:':;r'::'::-'-:"--:::':-'=-':"--;:--.-~~-:"--:+""~:.z.,~- '::c-:.'~;+: -'-_~.:" .~."" -~....~ -....-:- ".."~ -::-;:: -,'~.'..~".:"e_~'~";.;.,:--;7.r:-=:;;-.--".... r.;"~ , V :,' '" I..... i /'II 1/ ,"'1 ", ; /. , - .. e,,-) ,- r ., ...J . 'i '-- ~- : I' i '\' vn ,II I j '.1 \....' IV r 7:"" /) ,- '-'r ...,.I ,. 'I 1_ ,- '-~ t;"~ . "'" 1,-::,..'( . ~.~~~ CL'l\.fJ '. ' ~! I.i...... .../// / / I // <//'/1/1 /1//'/ // / / ~/I /LL~ '0~' ;-C1~/^ /, <: ~-,' :' r ,'...',':' ' ,'/1" LO T : ':" ", ~OOS-r~fT '7 '700 ! .,,,:' fRO pos E[J S vB f ! '9" / I: ;_~~' ?'~ ~. ~;~'~ U is ~:llJ " l!' ':ii. ',"'I .-, .' N9V 13 1972 : ~ \ a '-I S/-if7P' ..- " PAT! 0 ~ \ 1.,~ 41 '-; ,~-, ,j :,".,> i --.._- 9,)' .' . '~" ~~ , I, 1 I i , .. (. 1/ r. I.' '. ,/ co, " , , 71 0 0 I ~., '"' .......bl~! ",..., _II .,.........." ....... LOT 1\ LOT 10 ~'Z{)O. h' C: US E ., 7 ./ ~.. . rlJ -C>--":1 _1'1 1 ~, .~ !(73{JO '^, (l-- .., ......... :.::::.:.-_--- "~l y '.~ D, r'-1...!J YI-lS PER \ . . i t ..--.-;> -'-::--~,-';~\------ , '" .. , r ,. I .--1 . " ^ . ~ - . , -<, r; , ~. 'J~ ,/:1'..... ..... I, ..... .-)' , ......... /?/.J -.....;: , , , ' , fWA D - - . : , J/45 F't/~ /(: /) I , , I \ , i ....1' 5'0: '<..'1 \' OS/,(?E .5/ " ~ .\. ! , "M/A'OI\' .sUB f) i (I /~'Ol\-" '-~' . '0' f'}/; :;J/~ ~~..~ JASFEl../ 1,)/)' sT 1..1.J ',) <( ,..) Q. Q) :~"~'.l ~ .W.~ ~ J\\ i~ov: 1 1972' W , -.\" ::. " ..~ ~ LANE' COUNTY , PLANNING OFFICE . " , . , : [\lOT E' ..EE' CHECKII. r ON ReSE SIDE. '. . DO NOT - WRITE IN ~ T HIS~' SPICE . ,-P-~ , I. ,5:)~' f!..1 '/ _..4'7'____ ' ".. ", _.f- -- 1; .--,,;;- i. .~ . . . ~". o ." I' t I' i , r i, I . ,Ow IfY MINOR " , .._~ID",,_'\~"" ';ODRE'_l~;' ,T11"'!> j'" ".,-r/~c 1;- I ,~ ,.. '--.' \ " \//--; I ..=.._) ..-..-----~._------------------- f'REPARED BY,' .- '-. ',"". I,i ,),j ,,- . t/ l .':" (\.!.: H, I~~., .,..'''/ .1,7 (;, -.J',~' .....i::i..C;../(J,"r -.;'-"--,---";;:-,.~-,?,::~.:::...._~~,_I':""-'_'::_'-._. " '/ .... I:' (r..' -/ j/ /' I}' ,." . I( v . _ ::..:':~!~').~::_ ~ ~-.;::~ .::.:~.~'.~(~"! ~ J~~. ~-:~ ~i~~:':' 'L .~,.-....:~,'.\~....~,'::... ~;~~~.:,;~;...::,\. .. ~ ;.<~ .,' ;';':-;--.--.:.--... '~IIR'I"'I\I'C'iO' "I .:)U_U \; !-'! 1\ -7"::-------.~.T.l A Y. lk T(S). t/.~/ ~) /~"---'f > ',;.h,r..~:"L/~"'~.' t;v ----..-. -", ' (.... -, ... ~ -, (; . 'j.n ,.' , ~ :../', ^.;.l.)[SSORS I,,;d I ,"~.. '. -. d,_./.4&.. !SECTl'c.>:N rG' .. '. ..;-' '~~--:"';1' , .. :r0.\~,',.!,ri!(' '{'~' ....,..,..r- "~ I.. . ~ __,.____.._'"______~..:.--~~-...~:..:,-........:...,,:. ", ~~,-:"::....;:;.........~'....;I " , r . ,0,\ " ':":....:~;,.tJ~",..r....";:o:M\ :':--'>~' '~. . " I, I '.' : " .' , - ;".- . /tf ~ 0;).- ~ 0 (p ~/- '-I .' - . .~ .,' ., , :.:. .' Hov<!mbGr 14, :971 ::" , . tl-BD Y't.1ES, In:1< P '. " " ' , '. : ~ : '1 " 1,lr. 'U6 !till<;E-. SecrctArY' LnneCouuty ~lonnins C~lGslon Cout:thouGO ' , EU8eno. Oregoll" ReI Joek R~ Yates Hlnoz:' SubdlV1aloa) , '~?~ lancnso 02 50.:.06.1.4 'T~ L - " """,-. ; . ."0 o . ., . ",' '. Invellt1Bation of the above <leiserlb~d' p for the installation ofo 'individual' .' .' " . Publie'~tCr 10, required cnd is JOinl C. STONliR. n.s., otroct Bulldingand Souitetlon Oiv ,< By. S.N. Rut>inl, n.s SonltCl!:1on " ' <' " stm:rd eel Jaw R.Y S929 Jasp ,Spd1l8f101d. ,- " .' , ".. , ' . 1, .~. .. . . . . '. " .... " " , .... . ~. ) .'. .; . "" .~ ~ . '" " . ': -, "..'~' -r............ -: . j-'" ,0. .,.' " . ".l. : ," :.. approved 8y~tem. , ; " '. " .... '. , , " " , . , .' '" 1(:;':: '. .i, ~s.i n ~I, 1.1.." , .,' : Cr:f::.p. 'l~, - {'t!/.,'/.' ..../1// // L/<,<//}';;/<-;(,//'///'l.// II ////~ I .'\~ ;-c-,-.>^I,<-,, _ c/ ~ ,- . 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","...oC ,=' '''Ic', ..~~~~,'_~=~"C '~~,'~,. ,- '=~'.',.. =, ..._ _~__ . . _.._ __u._ _._____. .. _h. _0" "'-; ;11 i /"./ .V,:-r .1\/ i C',-J,- r T .~ , /1 ~ ,- , LOT /0 ~zOO >.........1 . " >'- . v,'..." ......... ";"I",f'" . U /~~..... ........ ........ ~ .......;'? ~~ ,......... /?/J , --'::' '. , ........ r, ................ ., .~ , ' ................ OSAGE ',Si .' ',;\ .,' . .. :~- ;.-~~.- ,~.~.-.~~."~~;;7.-....-,'-.. .., ..,..1,. .::.' I' - . j. . =~,-.,. '.'="_.' ,...",;,' ,I, " -. - _....,y S ',"-' ,,1.::. /' ! /\1 \1:"" :\1 r r I" 1.- '-'T ..~ .f II _ ,- t, ~ - ' ,,'LOT 7)00 ,. \ , ' , I , " I , , I~ 'v <( ,,J ; S I Q.. " " ..' " (~.) T! ~ ,I J' M ii-:Jo /~ suit {i.JY /,'0 1/ (-; f' j f\I y(J 1'1 -.-; !~- \/,// . ~ (--.----........., //~ / ///; l>;/~ ,FASFEI< 1\'1.' ~ , , .' NOTE I r ON . REVERSE ..'. ,,' . . SEE CHtCKll!: r SIDE DO 'NOT ,WRITE 'IN. 1 HIS 'SPICE ~~ 1 , , I cw IER I I , ,T/-IC./: R. VAlES i ' .-----..--l----:--------.--.--_---jf'HEPAf1ECi fl'r; .. '~;) <'~I ~.' -:;- t} . r, /~~ IJ I r ,I J',-:'. rj ,fZ." ) -" "_<"' ,,II..) v', '}' -, \ '/ _'.\,..-,'I'~ j.. ::;S~~~.~~~~;;?r??'-:.~;:~~;~; 1 J ' '.::;_1. :~. ~~""::"< :: . >" .____ : ; ,:.r:/: _:.:: :,} ," ,::... ~; .;' l-.DDnE~S MINOR :5;:-<! ,L~ '. " PHC~:: l ~:.._".w,~~__l._~.~_" . iU-~ . ~. . ~~-:.~/ I, i. I I i , --....." '''Ii SUBDIVISION " I l,,1!:: L,'T(S) ..r~ot/ ij :..'.sSES50RS w'P:'I'I-o:l -tr:,:),1-! ISECTION 'c.' i , I rOWNSHIP /:: f R~rlGE ~'-:~.~..~ --.--....., ",...,1f",.-:.:=.....'~1.......~ ~ .l~",u~ I'. , ," 3174 >. , . S,I.# ;76'-60/ Iff! / V20 Yes ~ No -Code C.T. Number Soecial Permit Area Urbanizina Area RE~T FOR SITE FEASIBILITY STUDY ,. For Office (l Use Only ~~ R'ece j ved bv THIS IS A PRELIMINARY REPORT WHICH DOES NOT INSURE THE ISSUANCE OF A FUTURE BUILDING PERMIT. PLANS OR EXPENDITURES MADE IN RELIANCE UPON THIS REPORT ARE AT YOUR OWN RISK. PLEA S E P R I NT. i:/: j<;-~6: '/ ~J~.JI.,{~r(.('I':}I()ff~;l'1ro" Lot # Block #~ 1'6 ~:1.. &-1-1- 7'6'OcJ Tow"ZJa;e ~Tax Lot No. N~~7:zr /Lr-::h(?/7 ~~ Mail ing Ad~s-r -l If Subdivlsioo - Name: Owner of Property I No. of Sites 3Sli'L Yes No Owner I 5 Consent '" $ .'7.5: t1l2. V> No. of Acres $ Total ?4?~CJ3 X ~ r!? d ~~k Telephone # S~ureofAppli<B;rt Di~/I/~~ Owoer X Seller Proposed Use AP~'l(antls Interest Buyer of Property: ~ in Property: Other (Specify): 146-'<:~?p,cT f2.~.$ ~y.-2J~ Propert:i(Size Legal AcceV'- Road Name Existiog Structures on Property- 7 $ -7.::;7 tJ?7 , -l r- 'It Rea 1 tor ~s Property Within One Mi~e,of Ci J ~/' Proposed Water Supply es .:it....- What City? 'j,,L, ~ Publ ic ~ District: No ,. /' Spring Well Other (Specify): Property Location (Directions): f?,l /~ ~ . .(; :: ~-/./?./^"'" 40:d ,P L d"Y1 Location of Test Holes on Property: OJj)~~ ~ ~ j:J.:p< /9"1(,' V U V(Date) ~"k ~ ~';/'Vr7 /IJ.Jb~ r - . -. "77 (/ f aoy landmarks aod relationship of test holes to When Will Test Holes Be Ready? MARK TEST HOLES WITH OUR FLAGS Draw diagram of property showiog location these laodmarks: , ~JT .~ ( II~( 1 ~~' -~~ MANAGEMENT, 135 E. 6th Ave., Eugene. Ore. 1'1 /~ ) - ~ "t)~ 1C\/' ~V;, ^y . I t~ -. , '-..,,/ MAKE CHECK PAYABLE TO: ENVIRONMENTAL MANAGEMENT MAIL TO: LANE COUNTY DEPARTMENT OF ENVIRONMENTAL C55-55 APPROVED " NOT APPROVED 1~ f--' ~I1S ~ ~ ~~~ ~~. ~~ it \ , . . ''. .xY1d ~ - Authorized-Si~i:ure . 3',-1'1- '7'- Date .. . 0.. MINOR o MAJOR .. - partition . "l;II' lane county I. ? / A; yo /\/ S/,:(> ,;':1 .- - -t- ~'" ~ J' 110 ' PI},f~ E:L :d:J.... /~-({)I t: r;'\ fJ I v ' r I r i' Q " <l " ----t:~ PIJR~tl.. .te. CD S70r.!1IrH./ WO,eK. SHor ~J , <) l') ..... II Rt. 5IPt:.Nf C LLLU o i I _.....__...., .... ...... _", .."... _1.7.. ~,__ , __, ____.._.___.._. ......., 'n" ..-. ---- ,-- JAS1?L"I(' RO/JD 9cc.-J c>-......t ~ ~t-t) ~J ~S';)5 a..- ~ ~ ~.-? :d..;?~ ,-"Oh. >7A~/7.t to' FILE NO: /17 Lj/ ,f -7(, SCALE: I II .;:- ~ 0 I \'. /.1 d III W. 1\1 .11' 1l1~J I I "1\}IHfHIM! N 1 AI MM.JA.I;l Ml 1'1"1 11II'AIl rM1 rt r I 1 "Ir', I ^C;T (~1' I ^vr I fllr.r N[. Oil 9/401 I PHONr l~nl1 r~7.41AF. . . . SITE EVALUATION WORKSHEET LOCATION: TWP. I r RANGE tJ:2.. SECTION t. -1- t/ TAX LOT # ~g"~ <J~~~ AMOUNT USABLf AREA:tt A~fi d_:Je.. PUBLIC 0 INDIVIDUAL 0 ZONING: PROPOSED USE: SIZE OF PROPERTY: NS r X 710 ( WATER SUPPLY: COMMUNITY g;:J IF SITE MEETS STANDARDS FILL OUT: Type of structure and approximate sewage flow: Single Family ~ Multi-family gpd Industrial Commercial gpd Institutional gpd gpd gpd MINIMUM DESIGN REQUIREMENTS: Length of disposal trench required Curtain drain required: Equa 1 ~ Yes =:J' se:~d~ No ~ /150 gal. Distribution Method: Other: SPECIAL SITE CONSIDERATIONS OR VARIANCE OPTIONS OR OTHER ALTERNATIVES: NAME: 0. ~ ~- c7 DATE OF EVALUATION: te~/e: 76 C74-l26 # 1 S T eH 0 L E PROFILE # 2. EST PREDICTED WATER T E PERCHED WATER Predicted Observed Date Inch Predic ted Observed Date inl inl 12 - SATURATED ZONE Sf!. 'Ii SATURATED ZONE Predicted inl 24- {... Predicted Observed inl b-fYM - Observed Date Date 36 _ Restrictive Layer in. Restrictive Layer Impervious Layer in. 48 - Impervious Layer Mottling in. Mottling 60 . , SITE DOES ~ DOES NOT D MEET MINIMUM STANDARDS. ADMINISTRATIVE RULES REOUIRE ~ MINIMUM DEPTH QI: H 0 L E PROFILE . in. Inch in. 12 - rtCf~ in 24 - t..olWl/. in 36 - in in 48 - in 60 - ~V ON YOUR PROPERTY THE DEPTH WAS: 0 36 inches to an impermeable layer 0 30 inches to a restrictive layer 0 60 inches to a permanent water table 0 24 inches to a temporarily perched water table OTHER REASONS FOR DENIAL PLOT PLAN: inches inches inche s inches ,fi.N'~ R.D Stream .~- _ """'L.A._ Drainage or pond VI f .. ,......,". ...,. \t I Road --..-- i <-, ~ . trrpp.wt,J , ,10 Test Hole 4D o ... ~ 7. Slope l Cut Bank ;;;;" Fence .,K-)C-)( I I /. ol~ I '+ w I i NORTH STREET '~ I ~'-.. ,,,,) II .;r"t..I-..~ '1i~11 "'W ,. ~:~-'''.-L~.~Jl 01 ~~2 "'.....:' "200 (~'l20' ~ I' ' ; ,__" ___ ~. ,~. . "'00 \ ,,,. (~ ,""'~_ ' , . ; -..ti-" ;1 ------- .:.., ! \ I' ':'00" '"'3 ' .- ".. 1 ;-,~ :11}li! '0'00 ~~ i..~,~,. ~-... ';I~a. 9;~'t.~:;;~~'~i~~~--20 ','f;\. ~~.. :/ :';:"01> ~ \ :~'::'::-" -. 'w,.. ,"j I> I' .. ! "",~::. 1'- --~I ,.",.,~,,_.~l. ,- S~r" :t~""~ll; -\1: - I: _.~-: ""-- l&'f:'L.!!~. ' Rtf., I . - .....2' .....;:~.. \ I ....~ -.. I _~IJ' , .. '. ...,~ ~ -- --- --- ..I\~\;~=,-- H. . ....... ......, 18 02 06.. i ,p ''', SE 1/4 NE 1/4 Sec.06 tlB S. R.2 W.W.M, LANE COUNTY 18 r"OO' i ! to. Lalle1/)'" ...~ If'O~ I. '20$ I I T o i~ '0 ~ ~ O~ ..49 'I (~ ~ o Q N - o ~ I" Q f!; T (? 1\1\\ . . 08 . if 8 N . QI , '* TGo LI>I'" 01>,,", I 1fl02064t ~ "011 18 02 OG 4l. I I I I ~ .' VESl0 NOl ) APPLlCATION# / \ Not Appl icable l ) ( ) ( ) ( ) . G~ . . BUILOI~~ SITE EVALUATION () BUILOING PERMIT APPLICATION NO. ~ SITE INSPECTION 1&r- &d( PLANNING DIVISION Not Applicable /(,A ,~ ~ ( ) ( ) ( ) 1. Zoning Ordinance Compliance: Zone 2. Subdivision Ordinance Compliance 3. Required Access 4. Building Site (Area. Width, Frontage) 5. Other (see comments) COMMENTS: I PLANNING DIVISION ACTION PENDING: BUILDING INSPECTION OIVISION 7. Plans Submitted 8. Soil Stability (footings) 9. Flood Plain 10. Other (see comments) COMMENTS: WATER POLUTION CONTROL Not Appl icable l ) - ( ) II. Meets Department of Environmental Quality Standards. 12. Other (see comments) COMMENTS: ~UB~~SIO~;yszl!f;x LOT 7frn) LOT: BLOCK: APPLI CANT OATE No Yes Tffi) TI 6. ( ) ) ) ( ) ( ) ( ) ( ) CK'O BY: /,.{g'/o ~.7' Setbacks from cll of road;: ' Front j1 /..a- Side Exterior / . ' Setbacks from interior lines: Side Rear rn,l -. h ... '1-/ i --7t No Yes T)TI ( ) ( ) ( ) ( ) ( ) ( ) CK'D BY: DATE No Yes T)~ ( ) ( ) CK'D BY~~' f 'f.-ff-7(, DATE TO APPLICANT: Your~ildlng I Site Inspection: / <'-r"'Can be app roved. ~~ ( ) Cannot be approved at this time as Indicated on item NO. above. O~ 11" Questions and further information on items 1 through 6 contact the LANE- '}O~' , COUNTY PLANNING DIVISION. Questions and further Information on items 7 (/'0 through 12 contact the LANE COUNTY BUILDING AND SANITATION DIVISION. D ( ) Will be held in this office until you can resolve the problems indicated. ( ) Is being returned. ( ) Your building permit ap'pl icatlon fee is bein9..,retur:.r'I.~d under seDarate cnver_ ':::,- ,)EPARTMENT OF ENVIRONMENTAL I1ANAGEMl:.NI 135 Sixth Avenue East Eugene Oregon 97401 PHONE: 687-4065 LANE COUNTY PLANNING DIVISION PHONE: 687-4186 C55-28 " . ~